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08-7633
CITY OF ZEPHYRHILLS 5335-8TH STREET 7633 (813)780-0020 BUILDING PERMIT Permit Number: 7633 Address: 6712 DAIRY RD Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: NEW CONST/COMM Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02-26-21-0010-03800-0000 Improv. Cost: 1,016,998.29 Date Issued: 4/25/2008 Name: LUSARE INVESTMENT HOLDINGS LLC Total Fees: 41,445.12 Address: 28804 FALLING LEAVES WAY Amount Paid: 10,694.38 WESLEY CHAPEL, FL 335435761 Date Paid: 4/25/2008 Phone: (813)679-1883 Work Desc: NEW CONSTRUCTION PEDIATRIC BUILDING RYMAN CONSTRUCTION O FLORIDA IN BUILDING FEE 2,828.28 ELECTRICAL FEE 610.65 MARTIN ELECTRIC PLUMBING FEE 407.10 MECHANICAL FEE 284.97 SONNY'S DISCOUNT APPLIANCE,INC. RADON 77.77 SEWER CONNECTION COMMERC 319.78 RYMAN CONSTRUCTION CO., INC. WATER CONNECTION COMMERC 2,648.76 WATER METER 1.5 725.00 WILLIAMS DENNIS(INDIVIDUAL) FIRE PLAN REVIEW FEES 466.62 POLICE IMPACT FEE 844.83 FIRE IMPACT FEE 907.03 PUBLIC SAFETY 5% 87.59 TRAFFIC IMPACT FEES 99%COM 30,443.23 TRAFFIC IMPACT FEE 1% 307.51 IRRIGATION METER 220.00 IRRIGATION CONNECTION 266.00 f V FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPEC I ION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d)work not ready for inspection when called e) permit not posted on job site f) plans not at job site g)work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing,consult with your lender or an attorney befoj.ecorçIing your notice of commencement." CON CT NATURE PERMIT OFFI R PERMIT ES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER P . O1/01 TRANSACTION REPORT SEP/ 17/2007/MON 03 : 03 PM FAX(TX) # DATE START T. RECEIVER COM.TIME PAGE TYPE/NOTE FILE 01 SEP/17 03:02PM 97886773 0:01: 16 2 OK G3 7524 Ci of.Ze h hills: ;; Building'Departm :a Phone:.(813.)-7 80-0020 Fax: (813)-780-0021 . . . ^-_- -__ _- -�«_ __--- -- - --------- FROM: Jackiey i TO:Harrold , FAX#: 813-788-6773 -FAX#: #OF PAGES including cover sheet:2 DATE: 9-16-08 MESSAGE: Attached is a-copy of the fee sheet showing credits. Jackie I ' • •• . I . •' • , • • . • -. . -- • • I I---------------------------------------- -- - - -- -- - - - - - - --• -- �-- -- _.:__�_ 6712 DAIRY RD-RYMAN-PEDIATRIC PATNERS-PERMIT#7633 SQ. FEET PRICE MAIN OR LIVING: 7,777 $ 130.77 OTHER AREA UNDER ROOF: - $ 91.00 OTHER: - $ - VALUATION $ 1,016,998.29 FEE SHEET $ 2,714.00 ADDRESS $ 30.00 DRIVEWAY $ 30.00 BUILDING: $ 2,828.28 ELECTRICAL: $ 610.65 PLUMBING: $ 407.10 MECHANICAL: $ 284.97 SUB-TOTAL $ 4,131.00 RADON: $ 77.77 TOTAL $ 4,208.77 SEWER: $ 319.78 $4,472.67-(CREDIT$4,152.89) WATER: $ 2,648.76 IRRIGATION: $ 266.00 TOTAL: $ 3,234.54 WATER METER: $ 725.00 1.5'METER-1 IRRIGATION METER $ 220.00 3/4'METER-1 FIRE DEPARTMENT FEES PLANS TOTAL: $ 466.62 INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ 466.62 PUBLIC SAFETY IMPACT FEES POLICE $ 844.83 $1,267.65-(credit$422.82) FIRE $ 907.03 $1360.98-(credit$453.95) 5% $ 87.59 $131.43-(credit$43.84) TOTAL: $ 1,839.45 SUB-TOTAL $ 10,694.38 I PARK IMPACT FEES $ - N/A SIF'S: $ - 100.0% $ - /00 TOTAL: $ - N/A tip" T I F'S : 30,750.74 6,140.94-(credit 15,390.20) 1% $ 307.51 TOTAL: $ 41,445.12 LUS REtINVESTMENT•HOLDINGS,LLC 04-08 1007 .28804:FAWNG LEAVES WAY _ WESLEY:CHAPEL,`Fl&W43 1846/631 Date C) oz Fay#o the - L?rder Dollars .. v F7cuiila TI3enk 37741;BUend Blvd,' •• k Zaphyth #s,'FI:�3S42 � ..�- City of Zephyrhills: Building Department Phone: (813)-780-0020 Fax: (813)-780-0021 TO: Harold FROM: Jackie F F FAX#: 813-788-6773 FAX#: F F DATE: 9-16-08 #OF PAGES including cover sheet: 2 F � 6 S 3 F E F MESSAGE: F i Attached is a copy of the fee sheet showing credits. F ; Jackie F F F ; € F F , F F I € F q 4 { F i F F € F [ i F F F F 6 I F € F € 1 € F F F p F € FEE SHEET COMM RES ('7 )2 q V 2c Square Feet: 7 7 7 7 Rate Computed At: ) 3o . 7 Valuation: 1p 1 24 _Use System Calc for Fees) Radon: J/ 7777 Connection Fees: 4r;�.7Z:c.-7,, Sewer: ), Water: ; : 14 - 1 2'-/ 3 2 c4 7( Water Meter: Size 6/11/07 220.00 All Residentials 1" 320.00 ___ 1 .5" 725.00 2" 990.00 3" & 4" Contact Louie for Quote Irrigation Connection: 266.00 Plus Meter Charge Above Based on size c4d,f Impact Fees: School: Transportation: 4(,I'1 0 9'i " i 5 O Park: / Public Safety: ro / /2t,7.'S-1 2l.Yz. = CITY OF ZEPIIYRIIILLS- BUILDING DEPARTMENT DATE: 3 c&O p RiGhT-OF-WAY USE PERMIT PERMIT# 3 No construction under ground or above ground of any facility shall be accomplished on any City Rights of Way without written approval from the City Building Department.Any application for approval of construction operations on any City owned Rights of Way shall furnish a detailed drawing showing the complete scope of the proposed work in triplicate to the office of the wilding Official for approval prior to the corn encement of yw ork,A copy of this permit is to be kept readily available at the site of the work at all times.7/..o`er -.a.el-.ca., * - PARCEL l.D.II G.t - Z '- )/-E"�(o O 'clo.ccJTY ROAD DATE Dis-90 LOCATION(Legal Description): Z hie Ce Z 9F> Permission is hereby granted to L eM S4-1`-% - ,,v� �C r of a for the construction and maintenanc of subject to the folio mg;conditions: 1. The construction and maintenance of such utility shall not interfere with the property and rights of a prior occupant. 2. All work shall be done In keeping with the standards of the City Streets Department and under the supervision of the City Building Official,who will be notified at least one day prior to commencement of construction. 3. All materials and equipment shall be subject to inspection by the City Building Official. 4. During construction all safety regulations of the Department of Transportation shall be observed and the City shall be relieved of all responsibility from damage of any nature arising from this permit.Subject to the same terms and conditions,the permit holder may take such safety measures, including placing and display of caution signs,as it may deem necessary In conduct of construction and maintenance work hereunder. It is the responsibility of the permittee to place,maintain,and supervise all traffic control and devices. 5. All private and all City properly shall be restored to its original condition as far as practical in the opinion of the City Building Official. 6. All underground crossing installations shall he laid at such depth as may be specified by the City Building Official. 7. The sketch covering the details of this installation shall be made a part of this permit.This permit is granted with the understanding that the applicant has notified all other utility users in the area covered by the permit and takes full responsibility for any damage Incurred by prior Installations as a result of his operations in order that they may safe guard their interests. 8. It is expressly stipulated that this permit is a license for permissive use only and that the placing of facilities upon public property pursuant to this permit shall not operate to create or to vest any property right in said holder. 9. Whenever the City decides to further exploit the City Rights of Way,any or all said poles,wires,pipes,cables,or other facilities and appurtenances authorized hereunder,shall be immediately removed from said Rights of Way,or reset or relocated thereon as required by the City Building Official at the expense of the holder of this permit. 10. The holder shall save and keep the City harmless from any and all damages,claims,or Injuries that may occur by reason of the construction, maintenance,and operation of said facility. 11. The holder shall complete the requested work within days or this permit shall become moil and void.In the event the work requested is not completed upon the expiration date oft is permit,the City shall have the right to complete such find o cha a der of perxl.it f r all coals incurred in completing said work t�b P'/L -er j) eaCa n I'vt £—G o� .ems ri or C,— 12. The holder shall post a cash or surety bond with the City Manager in the sum of S .3{A!"herein,and to guarantee maintenance of the right-of-way described herein for a period of one 1y dollars to guarantee e owing completion r q uested I of nstalla obligationstion.In&a event a surety bond Is posted,the surety bond shall he made payable to the City and shall obligate the surety to hold the City harmless in the event the holder of this permit should fail to meet any of Its obligations hereunder.The bond shall also Indemnify the City for all court costs and reasonable attorney's fees in the event legal action Is required to collect on said bond. 13. The permittee shall have a 24 hour emergency contact name and number listed below. SUBMITTED BY: (Pcrmlttee)1 I .JVe.V Signature&Titlei. t- L.ie ' 3t, ; , -- y7- K7��, :aleQ r' _________________ --yT ra8ewy��1la & s)tjoM a114nd fOg '7:2 . aleQ f7ojAjapdnS saNI1NII • �. :ling I I � Idl�.IIO$�lPIl�fl /J 1• S'YI1H21AHd'AZ AO AID:Afl 03AO'dddV ,J—,I — - ) - aaogd 03/20/2008 0 :39 8137886773 RYMAN CONSTRUCTION PAGE 02/02 CITY OF ZLPIIYRHILIS-BUILDING DEPARTMENT DATE: 3 O fC)$ RI . IT-OF-WAY USE rZRKIT PERMf"- Na eewtrwdhs coder guotmd or above gwued of any Me1Nly shop be eentwp4rked sn W City Rlgha of W.y nWrrr while.epprwd fees.ow City Bending Department.Any appllcatlen for approval of cwtractlen eperutlowr n any City.wed Rights of Wq tkwU furteh a deYred rddrr.wkK dewing nn couplet.seeps of o w proposed work In triplicate M the efflee.1 die OnkInl for approval prio S r✓0'►n►'�-Q [/'f� �`� sif this permit Is to he kept madly avanuhk at the.it.oldie work at an that, q S e PARCEL I.D.d C��"Z'� - 'O-OBCD ITYROAD DATE LOCATION(Igat DeseWplaan) $6 t ss Wei ,/f p 7—co.'s.,{- e e �w w O Penabdea to hereby granted b a of r-ke.2'ue hr like eowrlrxtkn nand nand of snb"ml to hue to uksg atudtlsns: 3 1. Tim esnaiructisn end Inehtemnwe ar suck 01Uly than net interfere with the property and Agra.of a prier aetslunL 2. An work shun he done In keeping with the standards of Hue City Streele Deparlawne and under the elperobla of Iii.City Building Official,who will be notined at beef one day prior to cemmenecmeni of eewstruelka. 3. All materiel.and equtpmat.hall he subJeel to Inspection by the CRY llurdksg OlfelnL 4. During construction all safety regnitlent oldie deparhwent of Transportation slid be observed end die City OWN be emceed of all ratpowdhMly from damage of any cam,.arlsbg faun this pen li.Subject to the woe term.and condltins,The permit keldor now lake smh safety meawle4 including plaeIng and displey of aMlon signs,as 11 flay deem Ileeetsary M eandaef of crmtnictlsn and malsatarrw work iwrettwdar.Ilk Ike,eepesslblUty d the permlttee it plan,maintain,and.opervkc all froffk control end devices. S. All private and aN City property than he restored to It.erlgkml condition oiler,.practical In die epoam of 1ho City BuiNag OlneiL • G AU nwdergre%wd crusting Inst.lhl{sns shall he laid at soh depdi ao way be opesifleil by the Clip Bwndiug OtlletaL 7. The skeleh covering the deI.Us.1 this i ntallathm stall be made a part of this permit.This permit le graveled with the awderelandkug runt rw applicant hot entitled an ether wily wen In the area covered by the permit and lake.toll re■powMlity for amy damage incurred by prier oaleWlons ns a remit of hip speratlom in order rat they may safe fined their kntereel.. • I14 expressly dipolated that dick permit b a Ness..for permissive we only and that hue plaeIng of faelihles%post paflie property ptuewat N ON permit snail not operate to create or to vn1 sty property right ion acid holder. 9. Whenever the City decides M further exploit The City Rights of Way,coy.van sold poles,wire.,pipes,cables,er ether feeble.Ned appnrtee.neea aelwrteod herermder,then be hnmedlololy removed from sold Right.of Way,or meet at rekwled tiwnese as required by the City itolidhig O11kIl of the expense of She holder of rut penntl. 10.The Milder shelf save and keep the City harmless from any and all damages,clams.or Injuries dint may cocoa by mason of the ansfrveersa, mehuie namx.and operotlah of sell facility. 11.The holder than complete the requested stark wit In days er nos permit uoeM baowra wan acrd Ind.>w the evert Uw work mqvereed is net completed%pun the expiration date.1 11.1.permit,the City sban have as right uuplete seek of the park hucurmd In completing said with. e)G►fC-1V . .v .Q&P n.e Pre =-I.e.4.��msr eC Q�a rt e•r .b- 12.The holder shall post a ash or w band tety b with the City Mnoger In the see of S ''tt f^^ dolls to guarantee perforswmne s1I..i1 igatdtrt heroic,and to Steersman maintenance of ow Mgkl-ef way described herein f.,..period of owe(I)yusr Anawlyl eompkrsw oldie rqueNN MMMfloe.Art die event a sesey band 6 petted,Ike purely bond thou he made payable 1.11w City and shall ohUgale the surely ft hold the City harmWas in the toad On holder of Shia peewall should fell I.meal any of Ire obligations hereunder.The bad shag she Indonnlfy the Cry for ON coast rwele and reasoable allorweyY few In the event legal action I.required to collect en said bad 13.The permUke shat have a 24 hour emergency eoel.ct name and comber listed below. SUBMITTED BY: (per upon) r t4 Signature die Title 1C Address 4t 3 S/(�S,/ J.,T Phone �13- 7r`t'— /T3 4, APPROVED BY: CITY OF ZEPHYRHILL9 11w1Woy1 Otfhelet Dote: UUUtie.Supervisor Daft: PwbUc Works Dale: City Manager _ Dole 813-780-0020 City of Zephyrhills Permit Application .� Fax-813-780-0021 � Building Department 1 Date Received Z Z_s'C)EI I ( Phone Contact for Permittin Owner's Name L oNit_ Pis - .N tb►�tb� Owner Phone Number a13 10-79 18"83 Owner's Address 28a Owner Phone Number Fee Simple Titleholder Name 1_U5f,2j& \ oI SI L\"�- Owner Phone Number Fee Simple Titleholder Address I JOB ADDRESS L1 i2. LOT# CI SUBDIVISION PARCEL ID# 02 -≥( `2\ 00\0 ` 0320() ' OOH (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = MOVE DEMOLISH INSTALL = REPAIR PROPOSED USE = SFR COMM = OTHER TYPE OF CONSTRUCTION BLOCK = FRAME = STEEL = OTHER DESCRIPTION OF WORK C --'.cc - -t-- BUILDING SIZE 1 X'` I SQ FOOTAGE 7>111 I HEIGHT I (O )t .ls 111111111111 lililIllIll 11111111111 11111111111 11111111111 11111111 111111 11111111111 11111111111 11111111111 11111111111 1111111111 11111 [I BUILDING I$ VALUATION OF TOTAL CONSTRUCTION- . 5O ,�Q(� Q ELECTRICAL IAMP SERVICE PROGRESS ENERGY = W.R.E.C. = PLUMBING $ = MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION . ,, LII GAS ( ROOFING = SPECIALTY = OTHER lJG r/ FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES XNO �/�"/3L�'6 ttt•jjj I 1111111111111111111111 1111111111111111111111111111111111111111111111111111111 11111111111 11111111111 11111111111 111111111 P1hst /1IIIIII BUILDER COMPANY `STRUZh01� $4�A SIGNATURE REGISTERED IY/ N I FEE CURRENT IY/N Address 334I 1 License# ICS O- ELECTRICIAN COMPANY E c- -IL. SIGNATURE REGISTERED IY/ N I FEE CURRENT IY/N Address I4SZI 335Zty License# PLUMBER JCOMPANY ' SIGNATURE REGISTERED Y/ N FEE CURRENT IY/N Address License# MECHANICAL COMPANY BONN S 1-44 SIGNATURE REGISTERED IY/ N 1 FEE CURRENT IY/N Address tobsI ' t 33S Z(a J License# 9-cx 4(O� OTHER COMPANY T 1�{ Trl1� SIGNATURE REGISTERED IY/ N I FEE CURRENT I Y/N N Address ?J73 CJ� ZQN R ttJ-S � '4Z License# ôc.- ,505 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&I dumpster COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Forms. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sanitary Facilities&1 dumpster All commercial requirements must meet compliance. SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. -1-l-l-l-l-IIIIIl III 1111111111 IIIIlIIlIIlIIlIIlIII IIIIIIII 111111 IllIllIlIlI IllIllIllIll II III liii 111111111 IlilIllI 11111111 III liii IlIlIllIll IlIllIllIl II II Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$5000) IAIQBet(#c�I�1 ey(for the owner)would be someone with not Cl5t�N71'!1?I _R1tIM w ,,.<•; a gAlt � l�..��� �y t of A lication Onl . '•.. ►b �9tigx Mi PP Y) t�nOr�i i ii6;' . '6U� �7SI0N grades A/C Fences(Plot/Survey ggfQ A i�• � , ' ss 4r ieürio yt qx3 5�ttu m J yM ?rpa Pat iA r re ne eRr mr � ts $FbbMder lie adways..needs ROW ♦r2 NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed In accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and Is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit Issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner" prior to commencement. CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application Is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone"V"unless expressly permitted. If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"=will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent .properties. If use of fill Is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically Included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMME CEMENT. FLORIDA JURAT(F.S.1 .O3) . OWNER OR AGE T ØT CONTRACTOR Sub be andandswçaffl d b I e me tai Subscrib d a d swo �to or affirmed) r me this a�' by D �► T �t (yam is/are personally kno1m#o me or has/have iroduced o is/are personally known to me or has/have produced ( (� as Identification. ( as Identification. P lic �Cpw�niMlon Expire Apt 4,2012 Commission .'M yCawRxfsoa Ex Apr4,2012 Commission No. 189 CO M =_L. SW•OO 740189 l�pidN NxfipNl Notny MM►• Naftwi Aeon. Name of No stamped- Name of Notary typed,printed or sta ==-ZEP:HYRHILLS FIRE.DEPARTMENT 6907 Dairy Road,Zephyrhills, FL 33542 Fire Chief Keith Williams:-_ Bus (813)780-0041 Fax (813)780-0044 FIRE SERVICE USER FEES Occupancy Na.: Plan No.: Contractor_ . G Business Name: �C., Billing Address: 5 Business Address: Business Phone No.: Billing Phone No.: an Business Fax No.: Billing Fax No.: Contact: Contact PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE Site Plan N/C Annual N/C Sprinkler $50 1 st Alarm N/C 777 Muu1-Famity/Corrvnemlal .06 sf let Re-inspection N/C Standpipes $50 2nd Alarm N/C (Minimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm WC Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $100 4th Re-inspection $500 Fire Alarm $50 5th Alarm $150 SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200 0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- penank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 Per Riser $50 Hydrostatic Test $65 per syrm Fire Works $500 FIRE PUMP Acceptance Test $45 persystem Camp Fire $25 Per Pump $100 Hydrant Flow $75 Controlled Brun $100 FIRE ALARM SYSTEM Hood/Duct $50 B0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Annul 26 plus Devices $100 System Acceptance $50 Fire Protection $255 SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Appli salon $50 Annual Wet $50 OTHER Waste Tie Storage $50 Anna) Dry $50 Fire Wall/Smoke Wail $15 Penwell Generator<KW $100 CO2 $50 LP Gas $25 perk Generator>30 KW 150 Other $50 Natural Gas $25 per sysran Bio-Hamrd Waste $100 Annual KITCHEN EXHAUST Fumigation Tenting $50 ❑Hood/Ducts $50 Tent 10X10 or greater $15 perteru Torch Pot/Appfied $50 OTHER Fire Pump $45 Haz Materials $100'Annual LP Installation per tank $50 Fire Suppression $30 Fuel Tank In illation $50 System Acceptance (Per Tank) $50 Exhaust Hood/Duct $30 Natural Gas insrauation $50 Re-inspection DBL (Per System) (ottlerthan annual) ❑Spray Booth $50 Inspection scheduled DBL and cancelled less than 24 hours Construction Insp. N/C Emergency Vehicle Aa $50 FALSEALARM PLANS TOT44 INSPECTION TOTAL PERMIT TOTAL TOTAL GRAND TOTAL I '-Kd ,Z t Comments: Date: Inscctor. City of Zephyrhllls Water and Sewer Impact Fee Calculation Land Use Type: Doctor or Dentist Office No. of Practitioners 3 No. of Employees per 8hr Shift Impact Fees Within City Limits Outside City Limit.s 1 Water Distribution System $3,973.14 ,$4,966.43 W Wastewater Collection System $9,982.50 C j Wastewater Treatment Plant Capacity $4,472.67 J ,$5,590.85 j TOTAL $16,431.82 $20,539.77 City of Zephyrhills Water and Sewer Impact Fee Calculation Land Use Type: Doctor or Dentist Office No. of Practitioners 1' No. of Employees per 8hr Shift Impact Fees Within City Limits Outside City Limits Water Distribution System $1,324.38 $1,655.48 Wastewater Collection System $2,662.00 $3,327.50 Wastewater Treatment Plant Capacity $1,490.89 $1,863.62 TOTAL $5,477.27 $6,846.59 sonNit,„ PERFORMANCE BUSINESS PRODUCTS,INC.813-719-8008 FAX 813-719-7919 CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA WATER ACCT. NO. DATE_(y `� OWNER/ RENTER G. MAILING LQAe> Wes- (" C - 33543- S7( SERVICE ADDRESS [ 2- IIrt. i2.. ( C�, ATER SHUT OFF SERVICE ❑ ❑ SEWER TURN ON SERVICE / ❑ GARBAGE INSTALL METER U/ E] IN CITY READ METER ❑ ❑ OUT CITY CHECK METER O No.OF UNITS OTHER ❑ DEPOSIT AMOUNT Q t rt . AMOUNT LAST BILL e-€ - `. . r(' Q DATE P Q- i T l ` t MISC.CHARGE METER: full irrigation WORK COMPLETED BY ORDER TAKEN BY &DATE COMPLETED { O R GIVEN BY Retain white form in office at all times. Send pink&yellow forms to Water Service Dept. Water Service Dept.to sign yellow form&return to office. m 0 v a z -vi r ZZ m a• K m F Z n Z mm m m T m O m\ D mc� m m m m D n llh mLAJ v ago ❑ ❑ ❑ ❑ ` T (� m N o Fm O o v= , m D r mIr m -4 r- i N D m z z ❑ ❑ ❑ �.1 - D �C { W I I I I I O n m D W m v tp vV n, m � f ° = 7° m = m mg D m 0 Z $ �_ C ZZ m m m p o a{o O ❑ ❑ ❑ ❑ (fJ z C, N� N o m �� Q N m m cN z z ❑ ❑ ❑ v C m v 1 m p Z W Z 6712 Dairy Rd. Plan Review Comments — 1. F.F.E. shall be a minimum 8" above road elevation or to the engineered site plan. 2. Tie-in survey required before pre-slab inspection to show elevation. 3. Compaction test required if 24" of fill is brought in at any one place. 4. All setbacks shall be met. 5. All property markers to be exposed before first inspection. 6. Ground mounted A/C units shall be anchored per F.B.C. M1307.3.1 7. Lot shall be graded as to comply with 401.3 of the F.B.C. 8. Drainage Plan Requirements must be made: Ordinance #974-07 Section 6. 9. All glazing requirements to be met per code 308.4 of the F.B.C. 10. All means of egress are to be per code 311 of the F.B.C. 11. R.O.W. use permit required for all driveways and all driveways to include expansion materials. 12. All water heaters shall have a thermal expansion control device installed per F.B.C plumbing 607.3 13. All wiring shall be done to Article 517 on the 2005 N.E.C 14. All A.D.A. Requirements shall be met and done to Chapter 11 of the 2004 F.B.C. F.F.E. — Finished Floor Elevation F.B.C. — Florida Building Code R.O.W. - Right Of Way N.E.C. - National Electric Code A.D.A. - Americans with Disabilities Act Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Marshal Bus (813) 780-0041 Kerry Barnett Fax(813) 780-0044 March 12, 2008 I have reviewed and approved the plans for a construction of a medical office building located at 6712 Dairy Rd. I have attached the comments for the plan approval. If there are any questions please contact my office at 813-780-0041. 1. Building construction shall be in compliance with the Florida Fire Prevention Code and all other applicable NFPA codes, latest editions. 2. Install knox box on front of building near entrance at a height of 6'. Location can be determined once construction is near the end by contactor and Fire Marshal. 3. Address on front units shall be 6" in height. 4. Separate plans are required to be submitted to obtain a permit for the sprinkler system. Plans shall be in accordance to the edition(2007) of NFPA 13. Plans shall provide calculations, all details and specs. FDC for sprinkler system shall be a single 5" Storz outlet with cap. 5. Plans are required to be submitted to obtain a permit for the alarm system for sprinkler monitoring. Plans shall be in accordance to the latest addition of NFPA 72. Plans shall provide battery calculations, all details and specs. Copy of certificate of monitoring company also will be required. 6. Plans are required to be submitted for any gas installation with all details and specs associated with the install. 7. Extinguishers shall be located both upstairs and down. Downstairs in break room, near lobby area and by additional exit. 8. Change out two exit lights to combination exit/emergency light. Emergency light heads shall be positioned to direct light down hallways. (exit lights by exam room#3 and office manager) 9. No storage is allowed in air handler rooms. 10. Air handler rooms can not be used as the plenum itself. 11. Add smoke detectors hard wire with battery backup if not being provided through the fire alarm. 12. Seal penetrations in smoke wall. 2 13. Sprinkler riser can be located in storage room; however, it should be walled off to keep it from being obstructed. If walled off, sufficient room shall be allowed to work on system. If no wall is built storage is very limited. A separate riser room on outside of building would be best. Inspections Required 1. Building Final 2. Additional inspections will be associated with other permits that are required. City ofZephyrhills BUILDING PLAN REV BW COMMENTS ContractorlHomcowncr: R.' Date Received: 2 2≤S Site: Permit Type: ( LL C C 15 fO� , 1 T7 Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ This comment sheet shall b ept with the permit and/or plans. Kal Switz —Pl xaminer Date Con a eowner (Required when comments are present) 03/20/2008 @8:39 8137886773 RYMAN CONSTRUCTION PAGE 01/02 License 4 CBC1250914 OF FLORIDA INC. FAX COVER SHEET f ATTly DATE: � COW FROM: PAGES(INCLUDING COVERSII E`!'): FAX: 7 a0�-I RE: PHONE: COPY: COMMENTS/INSTRUCTIONS: ❑ URGENT v 36413 SR 54 • Zephyrhills,Florida 33541-2275 Telephone 813/782-0825 Fax: 813/788-6773 Page 1 of 1 Jacqueline Boges From: Bobbie Knight [BKnight@rymanconstruction.com] Sent: Monday, March 17, 2008 10:02 AM To: Jacqueline Boges Subject: RE: Need your attention Hello Jackie, We will be using Dennis Williams Plumbing and I can sign for him. Yes we do need an irrigation meter. Thank you for asking. I will not be in today but I will see you soon. Bobbie From: Jacqueline Boges [mailto:jboges@ci.zephyrhills.fl.us] Sent: Monday, March 17, 2008 9:47 AM To: Bobbie Knight Subject: Need your attention 3/17/08 Ms. Bobbie Hello, hope you are feeling better. I am trying to finish up the permit for the 6712 Dairy Rd new construct for the Pediatric Patners building and I need to have the plumber register with us here in the City. We also need his signature or agent on his behalf on the permit. One additional question will they be needing any irrigation meters out there? Let me know so I can finish this permit up. Thanks Jackie @ City of Zephyrhills 3/17/2008 Page 1 of 1 Jacqueline Boges From: Jacqueline Boges Sent: Wednesday, March 19, 2008 8:45 AM To: 'Bobbie Knight' Subject: update Pediatric Partners March 19,2008 Hello Ms. Bobbie, Just to let you know that we are stilling waiting on a couple of thin s before the Pediatric Partners building 6712 Dairy Rd could be released. 1. Engineer letter 2. Right of Way use As soon as we get these couple of things turned in the permi wi 1 be ready for pick up. Thanks Jackie 3/19/2008 Jacqueline Boges From: Bobbie Knight[BKnight@rymanconstruction.com] Sent: Friday, March 28, 2008 7:39 AM To: Jacqueline Boges Subject: RE:\Desktop Document\IMAGE (25).TIF; Good Morning Jackie, Thank you for the permit fees for Pediatric Partners. . . .its great getting the printout. What dollar amount is required for permit pickup? In the past we only paid something like 25% of the TIF's at permitting but maybe things have changed. Thank You, Bobbie -----Original Message----- From: Jacqueline Boges [mailto:jboges@ci.zephyrhills.fl.us] Sent: Thursday, March 27, 2008 3:50 PM To: Bobbie Knight Subject: C:\Desktop Document\IMAGE (25) .TIF; <<IMAGE (25) .TIF>> 3/27/08 Attached you will find the fee sheet for the Pediatric Partners new construct building. I do have the permit ready for p/u Thanks Jackie C: \Desktop Document\IMAGE (25) .TIF; 1 Jacqueline Boges From: Bobbie Knight[BKnight@rymanconstruction.com] Sent: Friday, March 28, 2008 9:00 AM To: Jacqueline Boges Subject: RE:\Desktop Document\IMAGE (25).TIF; Thank You! -----Original Message----- From: Jacqueline Boges [mailto:jboges@ci.zephyrhills.fl.us] Sent: Friday, March 28, 2008 8:57 AM To: Bobbie Knight Subject: RE: \Desktop Document\IMAGE (25) .TIF; You will have to pay everything up to the sub total line $10, 694.38 and the Tif's would have to be paid before pre-meter $30, 750.74. Have a great weekend. Jackie -----Original Message----- From: Bobbie Knight [mailto:BKnight@rymanconstruction.com] Sent: Friday, March 28, 2008 7:39 AM To: Jacqueline Boges Subject: RE: \Desktop Document\IMAGE (25) .TIF; Good Morning Jackie, Thank you for the permit fees for Pediatric Partners. . . .its great getting the printout. What dollar amount is required for permit pickup? In the past we only paid something like 25% of the TIF's at permitting but maybe things have changed. Thank You, Bobbie -----Original Message----- From: Jacqueline Boges [mailto:jboges@ci.zephyrhills.fl.us] Sent: Thursday, March 27, 2008 3:50 PM To: Bobbie Knight Subject: C: \Desktop Document\IMAGE (25) .TIF; <<IMAGE (25) .TIF>> 3/27/08 Attached you will find the fee sheet for the Pediatric Partners new construct building. I do have the permit ready for p/u Thanks Jackie C: \Desktop Document\IMAGE (25) .TIF; 1 Page 1 of 1 Jacqueline Boges From: Bobbie Knight [BKnight@rymanconstruction.com] Sent: Thursday, March 20, 2008 8:21 AM To: Jacqueline Boges Subject: RE: update Pediatric Partners Good Morning Jackie, What type of letter is needed from the Engineer? I will fax the Right-of-way application to you to see if ok and then I will bring in. Thank you for your help, Bobbie From: Jacqueline Boges [mailto:jboges@ci.zephyrhills.fl.us] Sent: Wednesday, March 19, 2008 8:45 AM To: Bobbie Knight Subject: update Pediatric Partners March 19, 2008 Hello Ms. Bobbie, Just to let you know that we are stilling waiting on a couple of things before the Pediatric Partners building 6712 Dairy Rd could be released. 1. Engineer letter 2. Right of Way use permit As soon as we get these couple of things turned in the permit will be ready for pick up. Thanks Jackie 4/2/2008 Page 1 of 1 Jacqueline Boges From: Bobbie Knight [BKnight@rymanconstruction.com] Sent: Tuesday, March 18, 2008 9:35 AM To: Jacqueline Boges Subject: Impacts and Building Permit fees Good Morning Jackie, We are quoting a 2500 sq.ft. buildout for lot 2, 6834 or 6836 Medical View Lane ( Daughtery Road Professional Center). A physical therapy doctor's office is interested. We are building a shell only at this time and the permit# is 6929. May I have an "estimated" cost for building permits and all impacts by noon today? I don't know if you will be able to give me the dollar amount or if Bill Burgess is the one. Thank you and please call with any questions. Bobbie 4/2/2008 Page 1 of 1 Jacqueline Boges From: Bobbie Knight [BKnight@rymanconstruction.com] Sent: Monday, March 17, 2008 10:02 AM To: Jacqueline Boges Subject: RE: Need your attention Hello Jackie, We will be using Dennis Williams Plumbing and I can sign for him. Yes we do need an irrigation meter. Thank you for asking. I will not be in today but I will see you soon. Bobbie From: Jacqueline Boges [mailto:jboges@ci.zephyrhills.fl.us] Sent: Monday, March 17, 2008 9:47 AM To: Bobbie Knight Subject: Need your attention 3/17/08 Ms. Bobbie Hello, hope you are feeling better. I am trying to finish up the permit for the 6712 Dairy Rd new construct for the Pediatric Patners building and I need to have the plumber register with us here in the City. We also need his signature or agent on his behalf on the permit. One additional question will they be needing any irrigation meters out there? Let me know so I can finish this permit up. Thanks Jackie @ City of Zephyrhills 4/2/2008 SOUTHWEST FLORIDA WATER MANAGEMENT DISTRICT NOTICE OE AUTHORIZATION TO COMMENCE CONSTRUCTION Pediatric Partners PROJECT NAME Commercial PROJECT TYPE Pasco COUNTY 2/26S/21 E SEC(s)/TWP(s)/RGE(s) Lusare Investment Holdings, LLC PERMITTEE APPLICATION NO.: 46004248.001 DATE ISSUED: February 21, 2008 EST�L Issuing Authority GEN4 HENRY ROBERT LM►E,RE., DIRECTOR 3ROOKSVILLE REGULATION DEPARTMENT THIS NOTICE SHOULD BE CONSPICUOUSLY DISPLAYED AT THE SITE OF THE WORK 41.00-075(10/92) Page 1 of 1 Bobbie Swetland Subject: FW: Pediatric Partners Thank you. Bobbie From: Bobbie Knight [mailto:BKnight@rymanconstruction.com] Sent: Monday, March 03, 2008 7:28 AM To: Bobbie Swetland Subject: FW: Pediatric Partners Good Morning Bobbie, Please forward to Jackie. I am not able to e-mail her....1 must be doing something wrong. Have a great Monday, Bobbie From: Bobbie Knight Sent: Monday, March 03, 2008 7:26 AM To: 'jboges@ci.zehyrhills.fl.us' Subject: FW: Pediatric Partners From: Bobbie Knight Sent: Monday, March 03, 2008 7:20 AM To: 'jboges@ci.zephyrhillsfl.us' Subject: Pediatric Partners Hello Jackie, There will be a total of three doctors at Pediatric Partners on Dairy Road and I don't know if I told you Friday or not. Today I am sick and will be leaving sometime this morning. Please let me know if you need anything. Last Friday I faxed to Kalvin the floor plan as noted on the site plan for the previous building. Is this all the information that he needs? Thank You, Bobbie 3/3/2008 Florida Energy Efficiency Code For Building Construction Florida Department of Community Affairs FLA/COM 2004 v2.5-- Form 400A-2004 Method A: Whole Building Performance Method for Commercial Buildings PROJECT SUMMARY Short Desc: 07121-Pediatrics Description: Pediatric Parrtners Owner: Addressl: City: Zephyrhills Address2: State: FL Zip: 0 Type: Healthcare-Clinic Class: New Finished building Jurisdiction: ZEPHYRHILLS,PASCO COUNTY,FL(611600) Cond Area: 6291 SF Cond&UnCond Area: 6291 SF No of Storeys: 1 Area entered from Plans 7177 SF Permit No: 0 Max Tonnage 4.8 If different,write in: 12/12/2007 EnergyGauge Summit v3.10 incorporating Florida Energy Code Version -FLA/COM 2004 v2.5 Compliance Summary Component Design Criteria Result Gross Energy Use 5,188.1 5,825.8 PASSES LIGHTING CONTROLS PASSES EXTERNAL LIGHTING None Entered HVAC SYSTEM PASSES PLANT None Entered WATER HEATING SYSTEMS PASSES PIPING SYSTEMS PASSES Met all required compliance from Check List? Yes/No/NA IMPORTANT NOTE:An input report of this design building must be submitted along with this Compliance Report. 12/12/2007 EnergyGauge Summit v3.10 incorporating Florida Energy Code Version-FLA/COM 2004 v2.5 2 CERTIFICATIONS I hereby certify that the plans and specifications coy red by this calculation are in compliance with the Florida Energy Code Prepared By: Building Official: (' Date: 1Z / Date: I certify that this building is in compliance with the FLorida Energy Efficiency Code Owner Agent: Date: If Required by Florida law, I hereby certify(*)that the system design is in compliance with the FLorida Energy Efficiency Code Architect: Reg No: Electrical Designer: Reg No: Lighting Designer: Reg No: Mechanical Designer: Reg No: Plumbing Designer: Reg No: (*) Signature is required where Florida Law requires design to be performed by registered design professionals. Typed names and registration numbers may be used where all relevant information is contained on signed/sealed plans. 12/12/2007 EnergyGauge Summit v3.10 incorporating Florida Energy Code Version-FLA/COM 2004 v2.5 3 Project:07121-Pediatrics Title:Pediatric Parrtners Type:Healthcare-Clinic (WEA File:Tampa.tmy) Building End Uses Design Reference Total 89.42 100.00 $5,188 $5,826 ELECTRICITY(MBtulk 89.42 100.00 Whl$) 103762 116051 $5,188 $5,826 AREA LIGHTS 16.18 15.00 18776 17406 $939 $874 MISC EQUIPMT 6.01 6.01 6963 6963 $348 $350 PUMPS&MISC 0.10 0.10 131 131 $7 $7 SPACE COOL 20.63 26.58 23929 30846 $1,196 $1,548 VENT FANS 46.50 52.31 53963 60705 $2,698 $3,047 Credits& Penalties(if any): Modified Points: =89.43 I PASSES External Lighting Compliance Description Category Allowance Area or Length ELPA CLP (W/Unit) or No.of Units (W) (W) (Sqft or ft) INone 12/12/2007 EnergyGauge Summit v3.10 incorporating Florida Energy Code Version-FLA/COM 2004 v2.5 4 Project: 07121-Pediatrics Title:Pediatric Parrtners Type:Healthcare-Clinic (WEA File: Tampa.tmy) Lighting Controls Compliance Acronym Ashrae Description Area No.of Design Min Compli- ID (sq.ft) Tasks CP CP ance PrOZo 1 Sp l 12 Lobby(General)-Reception and 390 1 1 1 PASSES Waiting PrOZo l Sp2 9 Food Service-Bar/Lounge 207 1 1 1 PASSES Pr0Zo1Sp3 6 Toilet and Washroom 60 1 1 1 PASSES Pr0Zo1Sp4 6 Toilet and Washroom 76 1 1 1 PASSES 18PrOZolSp5 17 Office-Enclosed 213 1 2 1 PASSES PrOZo l Sp6 0 Unknown 25 1 1 1 PASSES PrOZo 1 Sp7 5 Corridor 270 1 2 1 PASSES Pr0Zo2Sp1 12 Lobby(General)-Reception and 386 1 1 1 PASSES Waiting Pr0Zo2Sp2 17 Office-Enclosed 103 1 4 4 PASSES Pr0Zo2Sp3 3 Storage&Warehouse-Bulky 61 1 1 1 PASSES Active Storage Pr0Zo2Sp4 5 Corridor 404 1 2 1 PASSES Pr0Zo3Sp1 17 Office-Enclosed 92 1 3 3 PASSES Pr0Zo3Sp2 17 Office-Enclosed 103 1 2 2 PASSES Pr0Zo3Sp3 6 Toilet and Washroom 63 1 1 1 PASSES Pr0Zo3Sp4 ,002 Laboratory 382 1 2 1 PASSES Pr0Zo3Sp5 1 Electrical Mechanical Equipment 15 1 1 1 PASSES Room-General Pr0Zo3Sp6 5 Corridor 236 1 1 1 PASSES Pr0Zo4Sp1 17 Office-Enclosed 110 1 1 1 PASSES Pr0Zo4Sp2 17 Office-Enclosed 144 1 1 1 PASSES Pr0Zo4Sp3 17 Office-Enclosed 114 1 1 1 PASSES Pr0Zo4Sp4 17 Office-Enclosed 100 1 1 1 PASSES Pr0Zo4Sp5 17 Office-Enclosed 110 1 1 1 PASSES Pr0Zo4Sp6 17 Office-Enclosed 215 1 1 1 PASSES Pr0Zo4Sp7 17 Office-Enclosed 146 1 1 1 PASSES Pr0Zo4Sp8 5 Corridor 135 1 1 1 PASSES Pr0Zo5Sp1 1 Electrical Mechanical Equipment 168 1 2 2 PASSES Room-General Pr0Zo5Sp2 2 Storage&Warehouse-Inactive 1,200 1 1 1 PASSES Storage PASSES 12/12/2007 EnergyGauge Summit v3.10 incorporating Florida Energy Code Version -FLA/COM 2004 v2.5 5 Project:07121-Pediatrics Title:Pediatric Parrtners Type:Healthcare-Clinic (WEA File:Tampa.tmy) System Report Compliance PrOSyl System 1 Constant Volume Air Cooled No.of Units Split System<65000 Btu/hr 1 Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria IPLV Criteria liance Cooling System Air Cooled<65000 Btu/h 16.30 13.00 2.00 PASSES Cooling Capacity Air Handling Air Handler(Supply)- 0.80 0.90 PASSES System-Supply Constant Volume Pr0Sy2 System 2 Constant Volume Air Cooled No.of Units Split System<65000 Btu/hr I Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria IPLV Criteria liance Cooling System Air Cooled<65000 Btu/h 16.30 13.00 2.00 PASSES Cooling Capacity Air Handling Air Handler(Supply)- 0.80 0.90 PASSES System-Supply Constant Volume Pr0Sy3 System 3 Constant Volume Air Cooled No.of Units Split System<65000 Btu/hr 1 Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria IPLV Criteria liance Cooling System Air Cooled<65000 Btu/h 17.00 13.00 2.00 PASSES Cooling Capacity Air Handling Air Handler(Supply)- 0.80 0.90 PASSES System-Supply Constant Volume PrOSy4 System 4 Constant Volume Air Cooled No.of Units Split System<65000 Btu/hr 1 Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria IPLV Criteria liance Cooling System Air Cooled<65000 Btu/h 17.70 13.00 2.00 PASSES Cooling Capacity Air Handling Air Handler(Supply)- 0.80 0.90 PASSES System-Supply Constant Volume 12/12/2007 EnergyGauge Summit v3.10 incorporating Florida Energy Code Version -FLA/COM 2004 v2.5 6 Pr0Sy5 System 5 Constant Volume Air Cooled No.of Units Split System<65000 Btu/hr 1 Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria IPLV Criteria liance Cooling System Air Cooled<65000 Btu/h 15.50 13.00 1.00 PASSES Cooling Capacity Air Handling Air Handler(Supply)- 0.80 0.90 PASSES System-Supply Constant Volume PASSES Plant Compliance Description Installed Size Design Min Design Min Category Comp No Eff Eff IPLV IPLV liance None Project: 07121-Pediatrics Title:Pediatric Parrtners Type:Healthcare-Clinic (WEA File:Tampa.tmy) Water Heater Compliance Description Type Category Design Min Design Max Comp Eff Elf Loss Loss liance Water Heater 1 Electric water heater <= 12[kW] 0.95 0.88 PASSES Water Heater 2 Electric water heater <= 12[kW] 0.95 0.88 PASSES I PASSES 12/12/2007 EnergyGauge Summit v3.10 incorporating Florida Energy Code Version-FLA/COM 2004 v2.5 7 Project: 07121-Pediatrics Title:Pediatric Parrtners Type: Healthcare-Clinic (WEA.File:Tampa.tmy) Piping System Compliance Category Pipe Dia Is Operating Ins Cond Ins Req Ins Compliance [inches] Runout? Temp [Btu-in/hr Thick[in] Thick[in] [F] .SF.FJ Heating System(Steam,Steam 0.25 False 105.00 0.28 0.50 0.50 PASSES Condensate,&Hot Water) Heating System(Steam,Steam 0.25 False 105.00 0.28 0.50 0.50 PASSES Condensate,&Hot Water) PASSES Project:07121-Pediatrics Title:Pediatric Parrtners Type:Healthcare-Clinic (WEA File:Tampa.tmy) Other Required Compliance Category Section Requirement(write N/A in box if not applicable) Check Infiltration 406.1 Infiltration Criteria have been met System 407.1 HVAC Load sizing has been performed Ventilation 409.1 Ventilation criteria have been met ADS 410.1 Duct sizing and Design have been performed T&B 410.1 Testing and Balancing will be performed Motors 414.1 Motor efficiency criteria have been met Lighting 415.1 Lighting criteria have been met 0&M 102.1 Operation/maintenance manual will be provided to owner Roof/Ceil 404.1 R-19 for Roof Deck with supply plenums beneath it ❑ Report 101 Input Report Print-Out from EnergyGauge F1aCom attached? 12/12/2007 EnergyGauge Summit v3.10 incorporating Florida Energy Code Version-FLA/COM 2004 v2.5 8 ❑ ❑ ❑ ❑ ❑ � oo � o E b w o o U � N � z ti)x Z "-' ...0 W) o o o a. 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O O G F r+ C C o y 7 O E V , y - z � - z z 0 • o � n o 0 in o C7 r1 o 3 0 O . .o < oe F- o N i d Oo Ca ani 00 N '� a a a es b a 8 a�i 8 to a Z w Z En Z LZ N Z O M O O N O Z - ❑ ❑ ❑ ❑ e m � ay ay 0 ir x o 0 0 Ix cc o 00 Gig. Gc, o w cw ^C o 00 `r o o0 a F N Cl 8 � y z a0 10 C U = w U � o W a � i U ' w b 00 o Q i. o - N a � o a � z -. o z w. im "i-an I lice company,Inc. 3 Dad PCity,�Box o 2337 1111111 11111 11111 11111��lll111111111111111 D�deCrty;Florida 3 3526-?.337 1111 11111 1111 liii (352,)5F,7- 2 - ri t 3521 567-0457 2008054594 Permit No To be issued by Pasco County Rapt: 1173789 Rec: 27.00 Tax Folio No 02-26-21-0010-03800-0000 DS: 0.00 IT: 0.00 04/11/08 Dpty Clerk NOTICE OF COMMENCEMENT JED PITTMAN PASCO COUNTY CLERK STATE OF FLORIDA ) 04/11/08 OJ:59 m 1 of COUNTY OF Pasco ) OR BK X81 PG 32 The undersigned hereby gives notice that improvements will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement: DESCRIPTION OF PROPERTY: (legal description AND street address,if available) See Exhibit A. 6712 Dairy Road Zephyrhills,FL 33542 GENERAL DESCRIPTION OF IMPROVEMENTS: 1.5 Story Medical Office Building OWNER AND OWNER'S ADDRESS: Lusare Investment Holdings LLC 28804 Falling Leaves Way Wesley Chapel,FL 33543 OWNER'S INTEREST IN THE PROPERTY DESCRIBED AS: Fee Simple CONTRACTOR AND CONTRACTOR'S ADDRESS: Ryman Construction of Florida Inc. 36413 SR 54 Zephyrhills,FL 33541 SURETY(if any)and SURETY ADDRESS: N/A AMOUNT OF BOND: $N/A NAME AND ADDRESS OF LENDER: FLORIDA TRADITIONS BANK Attn: Loan Operations 14033 8`h Street Dade City,F1 33525 Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes: FLORIDA TRADITIONS BANK Attn: Loan Operations 14033 8`h Street Dade City,Fl 33525 In addition to himself or herself,Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: Expiration Date of Notice of Commencement(the expiration date is 1 year from the date of recording unless a different date is specified) OR BK 7810 PG 33 2 of 3 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Lusa n st t Holding LLC Lione J pas L ,,, The foregoing instrument was acknowledged before me this day of Apr; ( 2008,by Dr 14 as ___IQ___ on behalf of Fvyiyt4 who is personally known to me or who produced1 0rS L.%c011E identification. Ho1ctf U\j (A,. Witness my hand and official seal in the County and State last aforesaid this 4L,day oft1 9ri 2008. QQ � �.I(7 Q.Q.CJIQ My Commission Expires: (o 1`a Notary Public Print Notary Name Seal: a••Y•••a STEPHANIE BAZZELL RIOPELLE /4A Notary Public•State of Florida • •i Ml►CorlMldalon Expires Jun 1,2011 Caronietion IM DO 653465 a,, �°'��•• Bcnded Tfrou6h Na0olNl NOW Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I eclare that I have read the foregoing and that the facts stated in it are true to the best of m kno and belief. L� 1 J spas PREPARED BY: RETURN TO: FLORIDA TRADITIONS BANK 14033 8TH STREET DADE CITY,FL 33525 0R BI( 7810 PG 34 3 of 3 EXHIBIT A The West 261,60 feet of Tract 38,Section 2,Township 26 South,Range 21 East,Zephyrhills Colony Company, according to map or plat thereof recorded in Plat Book I,Page 55,Public Records of Pasco County,Florida; LESS and except the West 15 feet thereof for road right of way,and LESS and except the South 100 feet thereof ALSO LESS and except that portion conveyed out to the City of Zephyrhills being more particularly described as follows: The East 10.00 feet of the West 25.00 feet of the West 261.00 feet of Tract 38, Section 2,Township 26 South, Range 21 East,Zephyrhills Colony Company,according to map or plat thereof recorded in Plat Book 1,Page 55, Public Records of Pasco County,Florida;LESS and except the South 100 feet thereof. STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE.WITNESS MY `r.HAND AND OFFICIAL SEAL THIS DAY OF AP9 2c2Q& JED PI AN,CL RK F CIRCUIT COURT BY o ^Q "Qt1 DEPUTY CLERK PASCO COUNTY, FLORIDA •• Permit No. 733 Date Permitted Builder Name/Owner Name /�? cif �A) S46�mControl # County Parcel No. p2-Z.6 -.7/- 60Id —O3 0O - %J SubDiv: Address/Location 6 7/2.. clDCi' r Id Classification/Type of Use / #'/ TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: Exempt ❑ Yes ❑ No How Determined Impact Fee Amounts 7So. '79 Zone No. TAZ: SCHOOL IMPACT FEE )/ Account (056) Single-Family Detached House Amount $ ,4- (057) Mobile Home (058) Other Residential 123) Collection Fee Exempt Yes ❑ No How Determined PARKS AND RECREATION FEE • Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT $ Exempt [❑ Yes ❑ No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt ❑ Yes ❑ No How Determined Total Amount N//r4_ RESOURCE FEE ERU TOTAL AMOUNT Prepared By Checked By NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY Acknowledgement below does not Imply acceptance of concurrence, but simply receipt of a copy of this form,placing the building permit owner on notice of this assessment and the conditions of payment for same. DATE RECEIVED BY RECEIPT NO. DATE BY Apr. 29. 2 )0'U 2: 04PM HERNRSCO TESTING LAB No, 5740 P HERNASCO TESTING LABORATORY,INC. Materials Testing and Engineering 6302 Benjamin Road—Suite 409 REPORT NO.: SFR— 120 Tampa,Florida 33634 JOB CODE: RYMAN CONST TEL(813)882-9088 or(727 856-5365 DATE TESTED: April 22,2008 FAX(813)888-6994 TRAVEL TIME: N/A SHEET: 1 Of 1 FIELD DENSITY REPORT CLIENT: Ryman Construction REQUESTED BY; Rick PROJECT: 6712 DairyRoad-Zephryhills,FL REPORTED BY: Katie PERMIT#: N/A P.O.#: N/A COUNTY: PASCO MATERIAL: FILL&EXISTING SAMPLED FROM: COMPACTED SOIL PROCTOR USED: 109.6& 112.1 MINIMUM PERCENT COMPACTION REQUIRED: 95.0% GENERAL LOCATION OF AREA TESTED: Footer Lines and Slab Area DRY. PERCEN'F pERCENf LOCATION DENSITY MOITlJRE:;,.:.DENSITY ,PROCTOR West Footer Line—15'South of the Northwest Comer 106.2 4,4 96.9 109.6 North Footcr Linc-56'Eest of the Northwest Comer 105.5 5.3 96.3 109.6 East Footer Line—28'South of the Northeast Comer 105.1 4.8 95,9 109.6 South Footer Liuc -63'East of the Southwest Comer 107.3 4.2 95.7 112.1 Slab Arcs-20'North of the South Footcr Linc—56 East of the West Footcr Lino 104.4 4.5 95.2 109.6 ' V 'tir '� y: REMARKS K•" Jim Christensen Field Technician `=Ja :Tipeps']E:E.#12217 ?� -2700 bayshore Blvd:#i 964 c !�]tL�33 jAi'i ,;FIori R,346 "Apri129,2008 DA'L'E: 3 a p d CITY OF ZEPIIYRHILLS-BUILDING DEPARTMENT RIG1IT-OF-WAy USE PERMIT PERMIT# No construction under ground or above ground of any facility shall be accomplished on any City Rights of Way without written approval from the City Building Department.Any application for approval of construction operations on any City owned Rights of Way shall tlrrnish a detailed encemenf of any ire s the complete scope of the proposed work in triplicate to the office of the Wing Official for a permit Is to be kept readily available at the site of the work at all times. �Q PProval Prior to the corn g towing S h ork A cop t this PARCEL I.D.# C7 � -+Zlo aZ/-mac !D_1A10-It! ROAD DATE LOCATION(L;gal Des lion) Permission is hereby granted to for the construction and maintenanc of °f r Lt./ e, subject to the folio ing conditions:�� �� T!` :, ti 1. The construction and maintenance of such utility shall not interfere with the property and rights of a prior occupant 2. All work shall be done In keeping with the standards of(he City Streets Department and under the supervision of the Clty Building Official,who 3. All materials and equipment shall be subject to inspection by the City Building Oluicial. 4. During construction all safety regulations of the Department of Transportation shall be observed and the City shall be relieved of all responsibility from damage of any nature arising from this permit.Subject to the same terms and conditions,the permit holder may take such safety measures, Including placing and display of caution signs,as it may deem necessary in conduct of construction and maintenance work hereunder. It Is the responsibility of the permittee to place,maintain,and supervise all traffic control and devices. 5. All private and all City properly shall be restored to Its original condition as far as practical in the opinion of the City Building Official. 6. All underground crossing Installations shall be laid at such depth as may be specified by the City Building OfficIaL 7. The sketch covering the details of this Installation shall be made a part of this permit.This permit is granted with the understanding that applicant has notified all other utility users In the area covered by the permit and takes full responsibility for any damage incurred result of his operations in order that they may safe �e guard their interests. by prior butaWtMns as a S. It is expressly stipulated that this permit is a license for permissive use only and that the placing of facilities public uponro e permit shall not operate to create or to vest any property right in said holder. P P P rsY pursuant to this 9. Whenever the City decides to further exploit the City Rights of Way,any or all said poles,wires,pipes, appurtenances authorized hereunder,shall he immediately removed from said Rights of Way,or react or relocated thereon as required Ofticlal at the expense of the holder of this permit. dth cables,or other by the and by the City Building 10. The holder shall save and keep the City harmless from any and all damages,claims,or injuries that may occur by reason of the construction, maintenance,and operation of said facility. 11. The holder shall complete the requested work within is not completed upon the expiration date oft ils permit,the City shall have the right to complete work and o e e incurred in completing said work C days or this permit shall become null and void.In the event the work requested �o rL`,* I n -G o� er of the permit f r.�pp cosh �rC 12. The holder shall post a cash or surety bond with the City Manager in the sum of S herein,and to guarantee maintenance of the right-of-way described herein for a period of one(1)ydollars to event a surety bond Is posted,the surety bond shall he made payable to the City and shall obligate the surety to hold the Cityof tharmlessherequested in tl�Denf a the borscr obligations f this permit should fail to meet any of its obligations hereunder.The bond shall also Indemnify the City for all court costs and reasonable attorney'sfe si In the event legal action is required to collect on said bond. feesinthe 13. The permittee shall have a 24 hour emergency contact name and number listed below. SUBMITTED BY: (Pcrmiltee) (�r f Signature&Title f'� �C � Address i 3 fQ 2L Phone _ 7i / 1'f. ( APPROVED BY: CITY OF ZEPHYRHILLS Building Official Date: Utilities Supervisor Date: Public Works Date: City Manager Date: TRANSACTION REPORT P • 01 /01 MAY/02/2007/WED 11 : 36 AM FAX ( TX) # DATE START T. RECEIVER COM.TIME PAGE TYPE/NOTE FILE 01 MAY/A2 11:35AM 97886773 0:01 :48 3 OK G3 6772 City tof.Zephyrhixls: . Building Department � � a ......... . Phone: (813)-7.80-0020 Fax (813)-780-0021 ' TO:Bobbie - -- �- - -- - - ----------- FROM:Jackie ------ ----1 FAX#:813-788-6773 DATE:511/08 #OF PAGES including cover sheet: 3 MESSAGE: Attention Ms.Bobbie I am faxing overto you the Pasco County Resource sheets that I failed to give upon pick up of permit.I do apologize. Jackie . I • r • • 1 • - r r � � r ---r -- --------- , ---- --.----. ---- --__---- r ----...---1 t 1 , • ., tri� �-: ,, ...�. _!t.l''•,I ::.4' ._l��.: ,°ss!�,1,•.: . ..:'�:.::�;,. .,. ... � 'i.., : 1 ' !1 1 ..